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Home My WebLink AboutH2018-0722 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O18-0722 $� s 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 8 0 7 2 2 Project No: 2776-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1045 BALBOA BLVD W Bld 1 Floor: Suite: a N,' v Description of Work: MECH/PACKAGE UNIT ON ROOF (2) "TAMPER RESISTANT CAP REQ" Inspector Areai1 Code Edit: 2016 Legal Description`. N TR 234 BILK 10 LOT 12 Owner. PACK IN E ROUP LLC Contractor:. ARCHER'S A / C Worker's Comp Insurance - e Address: 1041 B BOA BLVD Address: 1927 HARBOR BLVD #258 Carrier: NORGUARD INS COMP mesio• m n NEW RT BEACH, C 92661 COSTA MESA CA 92627 Policy No: BRWC897084 Phone`. Phone: 714-679-8493 Expire :11/25/2018 ° Con State Lic: 841426 Issued Date:11/14/2 Lic Expire: 06/30/2020 Bus Lic: BT30050900 seem NS F,�•TOP'" •m®m° Processed Processed By: Li 04130/2019uUJ3JEC'1TC`F'IF.LD PEVIEWAND API ROVAL m m e e e HVAC Items FEES 0 0 0 00.0 FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 1OOK BTU/hr: 2 $38.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.06 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model PCGG8361ssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $146.06 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $146.06 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. NNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(sn action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for i permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Jfessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of t more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the provements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or proved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,. Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, I a structure (j$144*e built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and tfes4ns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Inatuea of Property Owner or Authorized Agent Date )ENSED CbVMCTOR'S DECLARATION %redlyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with tion 000) f Division 3 of the Business and Professions Code, and my license is in full force I Effect. �.l-r� msec lass ...... License No Date 1 Contractor Signature` _�� )PPIRS' CQQFENSATION DECLARATION %NIG♦- FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT" GOMPENSA r DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. v%4y affirm undbr penalty of perjury one of the following declarations: I have and will Rintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th once of the work for which this permit is issued. Policy No. K e and v0ilj?,Nrltain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Jr 1 carrier and policy number are: 'tier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp sation laws of California, and agre tat, if I should become subjec to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Data 7 DECLARATION REGARPING CONSTRUCTION LENDING AGENCY hereby affirm under perially of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. /I ,J I authorize representatives of this city or county to he above-identif' purposes. r.e/1 . L_ _ / /' • (�� Dat�i I 17 ionsture of Property Owner or Authorized ADent Print ProDerty Owner's or Authorized ADent's Nam 1 (d't/LGI C�`t r ACTION DATE BY DECLARADONOFCOMPLIANCEMTH CODEOF FOR OFFICE USE ONLY I � FEDERAL REGULATIONS PART 07 OF TIILE40..AND PERMITFXP/RED AQMD RULE'f403. 1 SUBMITTED ASBESTOS NO7IFIC4RON TO. PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NO7IFICA11TONIS NOTAPPL.tCABL.E TO PERMITFINAL /0-/G —(Q PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYtSSUED SIGNATURE.